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SJC EHD <br /> � Page 1 of 1 2015-02-11 17:59:45 (GMT) DEM 4157072038 From: Ed MacDaniel <br /> �EJ__EIVE® EHD LOG NUMBER <br /> ■ 9iiWiL14��GG14,"FF <br /> ■ SAN JOAQUIN COUNTY FEB 112015 ENVIRONMENTAL HEALTH DEPARTMENT T� 1868 East Hazelton Avenue, Stockton, CA 95205-6232oqoq <br /> ENVIRONMENTAL HEAIiI-I lephone: (209) 468-3420 Fax: (209) 4640138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: EDWARD MACDANIEL BUSINESSIAGENCY: GRS GROUP <br /> ADDRESS. 3210 GOUGH ST #(105 CITY/STATEIZIP: SAN FRANCISCO, CA 94123 <br /> PHONE(1): 415-2411-120-1 PHONE (2): FACSIMILE:1111-707-2038 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to a g an�appointrnent.dat nd time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE QUES -$ 0 EE(CASH OR C ECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICA DATE 2/11/2015 <br /> Electronic Information: ❑ List Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Y{ Street Name city <br /> 1 500 SOUTH BECKMAN ROAD LODI // l <br /> 2. 1025 INDUSTRIAL WAY LODI -V`' El, nft2 <br /> 3. 851 LODI AVENUE EAST LODI <br /> 4. El Unit 3 I <br /> 6. <br /> 8, lI�� f1 ,Unit4 <br /> 7. 1'NpJiLte� flleS' ) L-0 I <br /> 8. ctn� ( Lr,.w,dl.hibt t 2. Units <br /> 9. /�rr <br /> 10, X11'(-9 i Unit e <br /> Spednc Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITYX❑SOLID WASTE FACILITYIVEHICLE <br /> Q OTHER CLEANUP SITE(NON•LOP) ❑HOUSING ABATEMENT ❑WASTETIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> X1 ABOVEGROUND TANK ❑CHICKEN RANCH)DOG KENNEL ©WASTEWATER TREATMENT PLANT <br /> Q HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCIUYARDICHEMiCAL TOILETS <br /> I]TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING X❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of file&from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appo Intments <br /> should be scheduled accordingly. <br /> 4. Any Tile not ratumed in the same condition as released will be reorganized by EHD staff at the expense of the,applicant <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. ""BOXED AREA-EHD USE ONLY' <br /> ( � IulnF O aO 111 ;31K0 <br /> Gk k- &I lt,e l ddf.it j e. LDr YOO <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> 0affilru <br /> N <br /> - Received Time Feb, 11. 2015 10; 00FM-No, 8096 - <br />